使用数字化胸腔引流系统治疗原发性自发性气胸的复发率更低。
Lower Recurrence Rate After Surgical Treatment for Primary Spontaneous Pneumothorax Using a Digital Chest Drainage System.
机构信息
Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong.
Department of Statistics, The Chinese University of Hong Kong.
出版信息
Innovations (Phila). 2024 Jul-Aug;19(4):390-394. doi: 10.1177/15569845241272153. Epub 2024 Sep 12.
OBJECTIVE
This study assessed the impact of digital chest drainage systems for patients undergoing video-assisted thoracoscopic surgery (VATS) pleurodesis for primary spontaneous pneumothorax (PSP) as compared with conventional chest drainage.
METHODS
A retrospective analysis of patients who underwent VATS pleurodesis for PSP was conducted. The primary outcome was pneumothorax recurrence, while secondary outcomes included time to mobilization, degree of lung expansion, drainage duration, and length of hospital stay. These measures were expressed as average treatment effect and subsequently compared after propensity score adjustment.
RESULTS
In total, 125 consecutive patients over a 64-month period were analyzed, with 55 patients in the digital drainage system group and 70 patients in the conventional drainage system group. After propensity score adjustment, the use of a digital drainage system was significantly associated with earlier mobilization (-2.22 days, < 0.001) and lower rate of recurrence (-11.2%, = 0.049).
CONCLUSIONS
The digital drainage system facilitated earlier postoperative free mobilization and resulted in lower pneumothorax recurrence rates.
目的
本研究评估了与传统胸腔引流相比，数字胸腔引流系统对接受电视辅助胸腔镜手术（VATS）滑石粉胸膜固定术治疗原发性自发性气胸（PSP）的患者的影响。
方法
对接受 VATS 滑石粉胸膜固定术治疗 PSP 的患者进行回顾性分析。主要结局是气胸复发，次要结局包括活动时间、肺扩张程度、引流时间和住院时间。这些措施表示为平均治疗效果，随后在倾向评分调整后进行比较。
结果
在 64 个月的时间内，共分析了 125 例连续患者，其中数字引流系统组 55 例，传统引流系统组 70 例。经过倾向评分调整后，使用数字引流系统与更早的活动（-2.22 天，<0.001）和更低的气胸复发率（-11.2%，=0.049）显著相关。
结论
数字引流系统促进了术后尽早自由活动，降低了气胸复发率。
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